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dc.creatorSrebnik, Debra S.en
dc.creatorLa Fond, John Q.en
dc.date.accessioned2015-05-05T19:11:18Zen
dc.date.available2015-05-05T19:11:18Zen
dc.date.created1999-07en
dc.date.issued1999-07en
dc.identifier10.1176/ps.50.7.919en
dc.identifier.bibliographicCitationPsychiatric Services. 1999 Jul; 50(7): 919-925.en
dc.identifier.issn1075-2730en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Advance+Directives+for+Mental+Health+Treatment+&title=Psychiatric+Services.++&volume=50&issue=7&pages=919-925&date=1999&au=Srebnik,+Debra+S.en
dc.identifier.urihttp://dx.doi.org/10.1176/ps.50.7.919en
dc.identifier.urihttp://hdl.handle.net/10822/759628en
dc.description.abstractAdvance directives are designed to establish a person's preferences for treatment if the person becomes incompetent in the future or unable to communicate those preferences to treatment providers. Mental health advance directives are similar to the more commonly used directives for end-of-life medical decisions. A patient must be competent to execute a mental health advance directive, and the directive must clearly express the patient's wishes. Once directives are executed, steps must be taken to ensure compliance, including adequate dissemination to providers, and to ensure that proxy decisions are consistent with the patient's treatment preferences. Potential effects of mental health advance directives include enhanced consumer empowerment; improved functioning; improved communication between consumers, family members, and providers; increased tolerance for consumer autonomy at the organizational level in community mental health agencies; and reduced use of hospital services and judicial proceedings. Issues to be clarified in future research and practice include strategies for increasing awareness of advance directives in mental health, barriers to execution of legally and clinically effective directives, practitioners' concerns, providers' compliance with directives, effects of directives on consumers and providers, effects of managed care on implementation of directives, and stakeholders' perceptions of the value of directives.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/99331023en
dc.subjectAdvance Care Planningen
dc.subjectAdvance Directivesen
dc.subjectAutonomyen
dc.subjectCommunicationen
dc.subjectCompetenceen
dc.subjectContractsen
dc.subjectDirective Adherenceen
dc.subjectEducationen
dc.subjectFamily Membersen
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectHealth Care Deliveryen
dc.subjectLifeen
dc.subjectManaged Care Programsen
dc.subjectMental Healthen
dc.subjectManaged Careen
dc.subjectProxyen
dc.subjectPsychiatric Willsen
dc.subjectResearchen
dc.subjectSocial Interactionen
dc.subjectStakeholdersen
dc.subjectWillsen
dc.titleAdvance Directives for Mental Health Treatmenten
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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